Mandy Kruse

Primary specialty

SpecialistTaxonomy code 174400000X

License

088757 Issued in IA

Practice address

3500 Dodge St Ste 105
Dubuque, IA 52003-5208

Phone

(563) 583-2007

NPI assigned

Mar 26, 2020

Last updated

Jul 19, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Iowa Hearing Associates LLC

  dba Miracle Ear

  • Hearing Aid Equipment
  • Dubuque, IA
  • NPI 1043548191
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1346877560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2733 NEW HAVEN ST",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520015650",
            "telephone_number": "515-518-7328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 DODGE ST STE 105",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520035208",
            "telephone_number": "563-583-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUSE",
        "first_name": "MANDY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-26",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IA",
            "license": "088757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIS",
            "identifier": "088575",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Internet",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3500 Dodge St Ste 105",
            "city": "Dubuque",
            "state": "IA",
            "country_code": "US",
            "postal_code": "520035208",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Internet",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3500 Dodge St Ste 105",
            "city": "Dubuque",
            "state": "IA",
            "country_code": "US",
            "postal_code": "520035208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Timothy John Kronlage, D. C.
• Natalie Anne Krug Wierda, DPT
• Anne Marie Kruse, PT, MPT
• Bradley Michael Kruse, PT, DPT, ATC
• Heather Lynn Kruse, M.D.
• Terese Nickol Kruse, PHARMD.
• Jody Lynn Kruser, RN
• Karyn Kuennen, DNP
• Michael B Kuennen, MD
• Beverly Kueter, LISW

• Specialist in Dubuque, IA
• Providers in Dubuque, IA by specialty
• Specialist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.